Malrotation of the intestine occurs when the normal process of rotation is arrested or deviated at varing stage. The best known example is non-descent of the cecum, in which this structure remains in the subhepatic position attained toward the
end
of
the second stage of rotation. Non-descent of the cecum is associated with anomalous fixation of the gut. First, bands (Ladd's band) may form between the right colon and duodenum. Less commonly, the colon is crowded into and lies doubled on ltself
in the
left side of the abdomen, while the duodenoum crosses in front of the the artery, where it has become fixed. frequently thee is also abnormal fixation of its proximal part with acute kinks at the duodenojejunal junction.
The pathologic effects of anomalous rotation of the gut arise from interference with mobility, compression, or kinking of the bowel, and predisposition to volvulus, torsion, intussusception, and ptosis, About half of the patients present during
the
neonatal period, many of them within the first few days of life. Most of the rest present during early childhood. It is rare for symptoms to appear for the first time in adult life.
herein we experienced the case with malrotated intestine, presenting with epigastric and left lower quadrant abdominal pain.
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